Interacting with 50-100 members daily through inbound calls to assist their needs with claim processing, appeal/prior authorization inquiries, benefits, and other clinical information.
Utilizing multiple different systems/programs simultaneously while providing high quality of care to the member.
Systems include Rumba, Cisco Finesse, GPS, and various Microsoft applications.
Consulting and problem-solving with providers' offices and other medical professionals to determine the best outcome for the member in a variety of situations.
Billing Clerk
McGee & Mason
11.2023 - 01.2024
Posted detailed client time and reviewed bills for accuracy.
Maintained consistent organizational skills by filing client documents according to office standards.
Reorganized documents to maintain smooth business operations and maximize productivity.
Created a well-organized book by scanning and merging pertinent documents for efficient storage of client information.
Provided exceptional customer service by answering phones and building client trust.
Patient Care Technician
Morton Plant North Bay Hospital
03.2023 - 11.2023
Executed multiple assignments to facilitate the living situations of 8-15 patients on a daily basis.
Assignments included, but were not limited to, checking the patient's vitals, monitoring their blood sugar, and working alongside emergency room staff to assist with compressions.
Examined patients during the visual monitoring process to ensure their health and wellbeing were consistently in good standing.
Actively and efficiently communicated with nurses via telephone in the event that an issue arose during visual monitoring sessions.
Assisted front lobby staff with discharge procedures to ensure patients were properly handled, with accurate documentation, as they were released from our facility.
Med Tech/Caregiver
Cobblestone Manor
10.2022 - 03.2023
Established positive relationships with residents and actively engaged in wellness activities to support their mental and emotional well-being.
Ensured accurate and timely administration of patient medications.
Supported the preparation of meals for residents while adhering to health and safety protocols.
Reported the status of residents' health and well-being to their family members on a daily basis.
Education
Professional Certification - Medical Billing & Coding
Auburn University
Auburn, GA
01.2025
High School Diploma -
Hernando High School
Brooksville, FL
06-2021
Skills
Bubbly Personality
Multitasking
Time Management
Resolution Determination
Healthcare Services
Prioritization
Active Listening
Compassion and Empathy
Interpersonal Skills
Data Entry
Customer Service
Phone Etiquette
Timeline
Customer Service Representative
CVS Health/Aetna
01.2024 - 11.2024
Billing Clerk
McGee & Mason
11.2023 - 01.2024
Patient Care Technician
Morton Plant North Bay Hospital
03.2023 - 11.2023
Med Tech/Caregiver
Cobblestone Manor
10.2022 - 03.2023
Professional Certification - Medical Billing & Coding
Auburn University
High School Diploma -
Hernando High School
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BRAD CRISWELLBRAD CRISWELL
Manager of Business Consulting (Product Owner) at CVS Health/AetnaManager of Business Consulting (Product Owner) at CVS Health/Aetna